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Rhode Island rates for HCPCS J0291

Inj., plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.38 / $11.38 / $11.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.57 / $3.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50